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Explore the importance of inclusive excellence in nursing, bridge the gap in healthcare disparities, and prepare for a diverse future in the nursing profession by fostering cultural competence and leadership. Take action now to build a more inclusive healthcare environment.
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Nursing, Inclusive Excellence, and our Future Jeffrey R. Ash, Ed.D. Associate Dean, Diversity and Inclusion Assistant Professor University of Maryland, Baltimore, School of Nursing
United States and Maryland • Maryland • Population 6 million • Female 51.5% • Over Age 65 14% • White 58% • Black /African American 29% • Hispanic 8% • Asian 5 % • 2 or more Races, and identifying as other <2%
Diversity and InclusionWhat we know • According to the U.S. Census Bureau, individuals from ethnic and racial minority groups accounted for more than one third of the U.S. population (37%) in 2012. • Projections pointing to minority populations becoming the majority by 2043, professional nurses must demonstrate a sensitivity to and understanding of a variety of cultures to provide high quality care across settings. • 2043 Why does this matter in Nursing and Healthcare ? What can we do ? What should we do ?
Inclusive Excellence Minority Now …The Future Men LGBTQ People of color Veterans Bilingual Seeing beyond characteristics and physical traits • Minority • The smaller in number of two groups constituting a whole
Healthcare 2K43 • What can we do • Looking beyond the physical and or cultural characteristics (that accompany Minority) • Minority group is categorical in nature by those who exhibit the physical or behavioral characteristics • Conditioned by numerical relationships and political power • NO LONGER COUNTING PEOPLE • Minority Should not describe a smaller number in relation to another but Minority is where you are, and should be used to describe the gap-space between the health care provider and the person receiving the care Recondition our thinking on characteristics and considering people and all their uniqueness- and bridging the gap between their uniqueness and yours
Growing Diversity and Inclusion in NURSING • Maryland • Population fairly evenly split Male /Female • Over 90 % RN’s Female • Less than 10% Male • Over 80% are White • Black, Hispanic, Asian, American Indian • 7.1%, 4.2%, 3.3% 0.7% • Demographics changing • Whose getting older is changing • Where RN’s work will be more diverse • Ideally demographics of RN’s will reflect those of the State, and the projected demographics
Bridging the Gaps- Goals • Nurses / Healthcare professionals CARE • Increase Leadership in Nursing of Men, and all under-represented groups by 10-20% over the next 5-10 years • Seek out mid-career employees with training and education on Nursing • Remember 2043
Goals • Build a deeper knowledge base, and increase understanding and reach in all healthcare settings • Build, create, partner, in growing training and cultural competence opportunities in hospitals by 10 % around the State of Maryland’s hospitals and healthcare outlets, and those places where RN’s are actually working over the next 5 years • 73 Hospitals in Maryland Strategically Find 7
Goals continued • Membership Associations should partner, align, and work in more of a collaborative nature rather than around their individual organization and mission • Remove the competitive tone, to one of collaboration and dialogue • As we continue to ensure that the RN population is Bachelors Degree prepared ensure that a growing percentage is bilingual over the next 5-10 years. 10-15%
Goals • Continue to promote Nursing as S.T.E.M.(N) • Offer more opportunities for foreign language courses and trainings • Continue with pipeline and early interventions with youth (develop and track data to see if these are leading to Nursing careers and Educational opportunities) • They feel good, but do they really work-we need to know
What can you do NOW • Begin investing in yourself and unpacking your own bias / belief structure • Invest in language and cultural competence courses • Embrace safe space training in and out of classrooms • Materials, symbols, and building artifacts in and around organizations should represent diversity and inclusion
What you can do now • Be meticulous in talking to patients, students, staff, and listening to them- There is an intrinsic value in truly connecting • If you believe in the importance of empathy and respect –create a space for that AND think of other areas where decision making pressure(s) can be relieved • ARE YOU PREPARED AND OR PREPARING THE NEXT GENERATION OF NURSING LEADERS FOR 2043
“ If you want to go fast go alone; If you want to go far go together” • IF YOU WANT TO GO FAST GO ALONE; IF YOU WANT TO GO FAR, GO TOGETHER